HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED �
Date: Permit Number: Rok'k-Q
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: Roof
y,
Address: 3005 Approach Shot Way Port St Lucie, FL 34952
Legal Description: LINKS AT SAVANNA CLUB(PB 40-39)BLK 40 LOT 6 (OR 3196-2710)
Property Tax ID#: 3425-707-0179-000-9 Lot No.6
Site Plan Name: Block No. 40
Project Name:
Setbacks Front Back: Right Side: Left Side:
Ida
Reroof- Remove Existing roof, dry-in with self adhering underlayment and install new asphalt shingles.
Roof Pitch:
Product Approval: Owens Corning Oakridge FL10674-R10
Product Approval: Soprema Resisto FL2569-R10
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Additional �worto a oi this permit—check k a appy:
HVAC Gas Tank ❑Gas Piping _Shutters ❑Windows/Doors
11 Electric ❑ Plumbing ❑Sprinklers Generator Roof
Total Sq. Ft of Construction: 1740 S . Ft.of First Floor:
Cost of Construction:$ 7000 Utilities:11 Sewer❑Septic Building Height:
"
Name Richard T Lemanski Name: Michael Miller
Address:3005 Approach Shot Way Company: Trade Winds Roofing, Inc
City: Port Saint Lucie State:FL Address: P.O Box 13208
Zip Code: 34952 Fax: City: Fort Pierce State:FL
Phone No.908-875-6411 Zip Code: 34979 Fax: 772-466-9275
E-Mail: Phone No. 772-466-9420
Fill in fee simple Title Holder on next page(if different E-Mail: Mike@tradewindsroofing.com
from the Owner listed above) State or County License: CCC057399
If value of construction is$2500 or more,a RECORDED Notice of commencement is required.
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DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules,bylaws or and covenants that may restrict or prohibit such
structure.Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit,I do hereby agree that I will,in all respects,perform the work
in accordance with the approved plans,the Florida Building Codes and St.Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review:room additions,
accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to another non-residential use
WARNING TO OWNER:Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender an attorney before
commencing worlor record g your Notice of Commencement.
s
_Signature of Owner/Lessee/Agent Signature of Contractor/License Holder
STATE OF FLO STATE OF FLORI
COUNTY OF I — �,kC�, Q COUNTY OF W(' \P,
The for oing inst ument was acknowledged before me The for oing instrument was acknowledg d before me
this 9�day of 20t L_by this day of��U.��. .20 V by
ffitcfino \ s�q � ackat A �(Name of personknowledging) (Name of person nowledging)
(Signature of Notary Publi Stat of Florida) (Signature o Nota7bli S ate of loridaPersonally Known 7OR Produced Identification Personally KnownR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. FE LNOTARY �E Commission No. FENDEE
L
STATE OF FLORIDA STATE OF FLORIDA
Revised 07/15/201 Expime 9/4/2017 Expires 9/4/2017
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS